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Update on the SSA Using Electronic Medical Records

The doctor just took me out of work but the adjuster said she isn’t paying me yet. Why?

January 16, 2016
One of the laws that Gov. McCrory enacted prohibited the Industrial Commission from forcing an employer to decide to accept or deny the claim within a month of having actual written knowledge of the claim. Thus the adjuster has thirty days within which to hold back on all payment without any repercussions against her whatsoever. […]
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Can my employer or the adjuster talk to my doctor behind my back?

January 5, 2016
Yes. And they do. All the time. They didn’t use to be allowed to do that, but very very often they did anyway. Successful lobbying with Gov. McCrory and the political leaders in the legislature lead to a huge change in the law. Now employers can talk to your doctor but are not required to […]
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Can the adjuster really send me halfway across the state to see a different doctor?

December 30, 2015
Sometimes, and, if they can get away with it. A while back a well-known neurosurgeon based in Raleigh spoke at a closed-door meeting with adjusters at a meeting sponsored by a law firm, which represents mostly insurance companies and employers. During the course of his presentation he stated that he believed a lot of injured […]
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Why does the adjuster have to get a second opinion when her own doctor has recommended surgery?

December 21, 2015
She shouldn’t, but under the current set of laws there really isn’t much of a limit to what the adjuster can request. It rarely works to simply refuse to attend a second opinion. On the other hand we’ve had some success convincing the Industrial Commission that the adjuster is abusing her privileges. And under a […]
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The doctor has ordered a test but the adjuster isn’t approving it. Why?

December 3, 2015
There’s no simple answer to this but here are a few possibilities. First, she’s lazy or procrastinating or overworked. Maybe. Second, she’s in denial that the test is actually necessary. She may be hoping that you spontaneously get better without the test. That occasionally happens but not often. Most experienced workers’ compensation doctors aren’t just […]
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